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Home My WebLink About2003-P06188 - plumbing PERMIT �I�� OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po6igs Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: 4�i6�2oo3 SITE ADDRESS: 4185 Sixth Ave N Long Lake,MN 55356 PID: 31-118-23-11-0004 DESCRIPTION: Proposed Use: Kesidentiai Pernut Class: Plumbing Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 800.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Owner/Self OWNER: Steven Jacobson MN 4185 Sixth Ave N Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,��,� .� � � �u� APPLICAN P RMITEESIGNATURE 1SSUEDBYSIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 � . � PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or �nliance that meets all three of the following � requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) �L�-�G--' x .0125 $ �S �� (contract price) (minimum�$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) ,; x .0005 $ _ S� (contract price) (minimum $ .50) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 c� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ;j � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. For valuations over$1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �� Date: � 3 � �., � • , l [T FEE CALCULATION(S) ate Statute ❑ Yes, This Section Applies �lacement of a Residential fixture or a�.�liance that meets all three of the following nents: 1) Does not require modification to electrical or gas service. Z) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 ; does not apply, follow guidelines below: Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) �D`��_ c�---C� x .0125 $ _. � (contract price) (minimum $35.00) State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ . S� (contract price) (minimum $ .50) Postage and Handling (Only mail-in applications) $ 1.50 c�-m TOTAL PERMIT FEE (Add lines 1-3 above) $ � �]� �ONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer Por the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or �ny other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there�is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. Fnr valnatinnc nver �1 fl(ln (ln(1 r.all the l�enartment nf Tncnectinn Services f�r the nrice_ % � DATE TIME V CITY OF ORONO cn� E�o Ni � �• � INSPECTION NO E SCHEDULED 2 -��.� C PERMIT NO. COMPLETED , ADDRESS 1l �J ' OWNE� CONTR. + TELEPHONE N0. �q7�-� � ��7 �" 1 ��OC� � DESCRIPTION �=.-�ir�.��l�fi �� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPT FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS:_��'�P� � �• Sl�� t��}-(>�/Y1� � � � ��er � o �� 0 � W J � � Q � Z W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next i spection 24 hours in advance. (952� 249-46�� OwnerlContr n it : Inspector. \ �. White Copyllnspector's File Canary CopylSite Notice